sb/hs/nl/nl






Name of the Patient : Abc XyzP. Mlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzhah / Dr. Abc Xyzthari.
Examination : M.R.I. of the Dorso-lumbar Spine.

CLINICAL PROFILE :

C/O backache.

EXAMINATION :

M.R.I of the dorso-lumbar spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is central and anterior wedging of the D12 vertebral body. The D12 vertebral body shows an ill-defined hypointense signal on the T1 Weighted images which appears hyperintense on the T2 Weighted images. A break in the superior cortical endplate of the D12 vertebral body is noted (suspicious break of the inferior cortical endplate is noted). There is a bulge of the posterior margin of the D12 vertebral body with resultant mild indentation on the dural theca and the dorsal spinal cord anteriorly. The cord at the D11 and D12 levels shows a subtle hyperintense signal on the T2 Weighted images which may represent cord contusion/ edema in the given clinical setting. Suspicious break of the right lamina of the D12 vertebra is noted. There is also slight decrease in the height of the D8, D9, D10 and D11 vertebral bodies, without change in signal intensity.





Areas of intermediate signal intensity on the T1 Weighted images which turn hyperintense on the T2 Weighted images are seen within the anterior epidural space over the D11 to L1 vertebral levels and in the posterior epidural space over atleast the D5 to D11 vertebral levels. These most likely represent epidural hematomas.

The mid-dorsal intervertebral discs are reduced in height and show loss of water content.

Schmorls nodes are noted in the visualized dorso-lumbar region. Focal fatty marrow changes are noted adjacent to the D6-D7, D9-D10 and D10-D11 intervertebral discs.

A focal hemangioma with fat content is noted in the D12 vertebral body.

The facet joints at the D10-D11, D11-D12 and D12-L1 levels show mild degenerative changes bilaterally.

The rest of the visualized dorso-lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the L1 level.

IMPRESSION :

1. Central and anterior wedging of the D12 vertebral body with altered signal, represents a compression fracture with bone edema, most likely the sequelae of recent trauma. Resultant posterior bulge of the D12 vertebral body is noted with mild indentation on the anterior dural theca and the dorsal cord. Altered cord signal at the D11 and D12 vertebral levels may suggest cord contusion/edema.
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- 3 - Scan-00007


2. Suspicious fracture of the right lamina of the D12 vertebra.

3. Epidural hematomas within the D11 to L1 vertebral levels and in the posterior epidural space over atleast the D5 to D11 vertebral levels.

4. Decrease in height of the D8, D9, D10 and D11 vertebral bodies without change in signal intensity and reduction in height of the mid-dorsal intervertebral discs with multiple Schmorls nodes as described. Scheurmanns disease should be ruled out.

5. Degenerative changes of the facet joints at the D10-D11, D11-D12 and D12-L1 levels, bilaterally.